Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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DENTAL IMPLANT WITH LASER-ETCHED
PLATFORM SWITCHING BEVELED COLLAR SURFACE
Cross-Reference to Related Application
[0001] This application claims the benefit of U.S. Provisional Patent
Application
Serial No. 61/707,347 filed September 28, 2012, the entirety of which is
hereby
incorporated by reference herein.
Technical Field
[0002] The present invention relates generally to the field of dental
implants, and
more particularly to a dental implant having a beveled platform switching
collar treated
with a micro-pattern surface treatment for improved bone and soft tissue
attachment
and increased soft tissue volume.
Background
[0003] Dental implants are used in the replacement of natural teeth with
prosthetic teeth. Dental implants are fitted with abutments to which a crown
or other
dental restoration is mounted. Traditionally, the diameter of the abutment was
preferably selected to generally match the diameter of the implant, which was
known as
platform matching.
[0004] More recently, it has been discovered that "platform switching,"
wherein a
smaller diameter abutment is mounted to a larger diameter implant, may result
in
improved bone and soft-tissue response. U.S. Patent Pub. No. 201 0/01 96852 Al
and
U.S. Patent Pub. No. 2012/0077151 Al are incorporated herein by reference, and
provide further details regarding platform switching.
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[0005] An alternative means of improving tissue response to implant
placement
provides for the application of ordered repeating microgeometric patterns to
bone and
tissue interface zones of a dental implant, for example by laser etching
alternating
ridges and grooves on an implant surface. U.S. Patent No. 6,419,491 is
incorporated
herein by reference.
[0006] To applicant's knowledge, those of ordinary skill in the art have
considered
platform switching and micro-pattern etching to be alternative processes, with
no known
motivation to combine the different techniques. Additionally, platform
switching implants
typically include a beveled collar having obliquely angled surfaces, which may
not be
well suited to known laser-etching processes utilized for applying micro-
pattern surface
treatments to right cylindrical surface zones.
[0007] Accordingly, it can be seen that needs exist for improved implants
for
securing abutments and prosthetic teeth. It is to the provision of improved
systems and
methods meeting these and other needs that the present invention is primarily
directed.
Summary
[0008] The present disclosure provides an improved dental implant system
including a dental implant with a micro-pattern surface treatment and an
abutment with
a micro-pattern surface treatment. The abutment cooperatively engages the
dental
implant during use.
[0009] In certain embodiments, the dental implant micro-pattern surface
treatment includes an ordered micro-geometric repetitive surface pattern. The
ordered
micro-geometric repetitive surface pattern can include alternating ridges and
grooves
and/or microthreads. Optionally, the alternating ridges and grooves each have
a width
and a depth on the order of about 2 to about 25 microns.
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[0010]
In other embodiments, the dental implant is made of a material selected
from titanium, stainless steel, plastics, ceramics, and other biocompatible
metals. In
another embodiment, the dental implant also includes a threaded anchor section
and a
platform switching collar section, wherein the platform switching collar
section tapers
from a larger dimension to a smaller dimension, and wherein at least a portion
of the
platform switching collar section comprises the micro-pattern surface
treatment. The
platform switching collar section can include a bevel of about 30 ¨ 60 .
Optionally, the
platform switching collar section comprises a bevel of about 45 .
[0011]
In an alternative embodiment, the present disclosure provides a dental
implant for complementary engagement with an abutment including a micro-
pattern
surface treatment. The dental implant includes a micro-pattern surface
treatment that
aligns with the abutment micro-pattern surface treatment during use.
[0012]
In certain embodiments, the dental implant tapered collar includes a
micro-pattern surface treatment. The abutment tapered collar can include a
micro-
pattern surface treatment.
Optionally, the dental implant micro-pattern surface
treatment and the abutment tapered collar micro-pattern surface treatment
include an
ordered micro-geometric repetitive surface pattern. The ordered micro-
geometric
repetitive surface pattern can include alternating ridges and grooves and/or
microthreads. Optionally, the alternating ridges and grooves each have a width
and a
depth on the order of about 2 to about 25 microns.
[0013]
In another embodiment, the abutment includes at least one of the group
comprising titanium and alloys thereof, stainless steel, ceramics,
biocompatible glass
and combinations thereof. In another embodiment, the dental implant includes
at least
one of the group comprising titanium and alloys thereof, stainless steel,
ceramics,
biocompatible glass and combinations thereof.
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[0014] In still a further alternative embodiment, the present disclosure
provides a
dental implant system including a dental implant and an abutment. The dental
implant
includes a threaded anchor and a tapered collar tapering from a wide distal
section to a
narrow proximal section. The abutment includes a base and a tapered collar
tapering
from a wide distal section to a narrow proximal section. The abutment tapered
collar
narrow proximal section cooperatively engages the dental implant tapered
collar narrow
proximal section during use.
[0015] In some embodiments, the dental implant includes a tapered collar
tapering from a wide distal section to a narrow proximal section, and the
abutment
comprises a base and a tapered collar tapering from a wide distal section to a
narrow
proximal section, the abutment tapered collar narrow proximal section
cooperatively
engages the dental implant tapered collar narrow proximal section during use.
[0016] In other embodiments, the dental implant micro-pattern surface
treatment
and the abutment micro-pattern surface treatment include an ordered micro-
geometric
repetitive surface pattern. Optionally, the ordered micro-geometric repetitive
surface
pattern comprises alternating ridges and grooves and/or microthreads.
[0017] The disclosure also provides a method of causing growth of gum
tissue
around a dental implant in a subject including implanting a dental implant for
complementary engagement with an abutment in the mouth of the subject
comprising a
micro-pattern surface treatment, the dental implant comprising a micro-pattern
surface
treatment that aligns with the abutment micro-pattern surface treatment during
use,
wherein the dental implant comprises a threaded anchor section and a platform
switching collar section, wherein the platform switching collar section tapers
from a
larger dimension to a smaller dimension, and wherein at least a portion of the
platform
switching collar section comprises the micro-pattern surface treatment.
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[0018] In certain embodiments, the dental implant micro-pattern surface
treatment includes an ordered micro-geometric repetitive surface pattern. The
ordered
micro-geometric repetitive surface pattern can include alternating ridges and
grooves
and/or microthreads. Optionally, the alternating ridges and grooves each have
a width
and a depth on the order of about 2 to about 25 microns.
[0019] In other embodiments, the dental implant is made of a material
selected
from titanium, stainless steel, plastics, ceramics, and other biocompatible
metals. In
another embodiment, the dental implant also includes a threaded anchor section
and a
platform switching collar section, wherein the platform switching collar
section tapers
from a larger dimension to a smaller dimension, and wherein at least a portion
of the
platform switching collar section comprises the micro-pattern surface
treatment. The
platform switching collar section can include a bevel of about 30 ¨ 60 .
Optionally, the
platform switching collar section comprises a bevel of about 45 .
[0020] In certain embodiments, the gum tissue covers the implant so that
the
implant is not visible in the mouth of the subject. In other embodiments, the
gum tissue
covers at least a portion of the abutment so that when a prosthetic tooth is
installed on
the abutment the abutment is not visible in the mouth of the subject.
Brief Description of the Figures
[0021] FIG. 1 shows three dental implants according to an example
embodiment,
installed within gum tissue and mounting abutments.
[0022] FIG. 2 shows an enlarged side view of one of the dental implants
and
abutments shown in FIG. 1.
[0023] FIG. 3 shows an enlarged front view of one of the dental implants
and
abutments shown in FIG. 1.
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[0024] FIG. 4 shows an isolated top perspective view of one of the dental
implants shown in FIG. 1.
[0025] FIG. 5 shows a side view of the dental implant shown in FIG. 4.
[0026] FIG. 6 shows a top view of the dental implant shown in FIG. 4.
[0027] FIG. 7 shows a bottom view of the dental implant shown in FIG. 4.
[0028] FIG. 8 shows an isolated top perspective view of the abutments
shown in
FIG. 1.
[0029] FIG. 9 shows a back view of the abutment shown in FIG. 8.
[0030] FIG. 10 shows a front view of the abutment shown in FIG. 8.
[0031] FIG. 11 shows a side view of the abutment shown in FIG. 8.
[0032] FIG. 12 shows a top view of the abutment shown in FIG. 8.
[0033] FIG. 13 shows a bottom view of the abutment shown in FIG. 8.
[0034] FIG. 14A shows an isolated top perspective view of one embodiment
of
the dental implant.
[0035] FIG. 14B shows a side view of one embodiment of the dental
implant.
[0036] FIG. 14C shows a side view of one embodiment of the dental implant
joined with an abutment.
[0037] FIG. 15A shows the dimensions for implant length and ordered micro-
geometric repetitive surface pattern zone.
[0038] FIG. 15B shows the dimensions for the platform switch.
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[0039]
FIG. 15C shows the dimensions for body diameter and prosthetic
connection width.
Description of Example Embodiments
[0040]
The present invention may be understood more readily by reference to the
following detailed description of the invention taken in connection with the
accompanying drawing figures, which form a part of this disclosure. It is to
be
understood that this invention is not limited to the specific devices,
methods, conditions
or parameters described and/or shown herein, and that the terminology used
herein is
for the purpose of describing particular embodiments by way of example only
and is not
intended to be limiting of the claimed invention. Any and all patents and
other
publications identified in this specification are incorporated by reference as
though fully
set forth herein.
[0041]
Also, as used in the specification including the appended claims, the
singular forms "a," "an," and "the" include the plural, and reference to a
particular
numerical value includes at least that particular value, unless the context
clearly dictates
otherwise. Ranges may be expressed herein as from "about" or "approximately"
one
particular value and/or to "about" or "approximately" another particular
value. When
such a range is expressed, another embodiment includes from the one particular
value
and/or to the other particular value.
Similarly, when values are expressed as
approximations, by use of the antecedent "about," it will be understood that
the
particular value forms another embodiment.
[0042]
FIGS. 1-7 depict an embodiment of an improved dental implant 10 for
supporting an abutment 30 onto which a prosthetic tooth 40 is mounted. The
implant 10
has a threaded anchor section 12 and a platform switching collar section 14.
At least a
portion of the platform switching collar section 14 has a micro-pattern
surface treatment
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applied thereon to the outer surface. When the implant 10 is secured within
osteomy
crestal bone 42, the bone and soft gum tissue 44 will grow into and grip the
microgeometric surface pattern zone on the collar section 14.
[0043] The platform switching collar section 14 includes a cylindrical
collar 20 and
a mouth 22 that tapers from a larger outside diameter at a distal section to a
smaller
outside diameter at a proximal section thereof. In example embodiments, the
cylindrical
collar portion 20 has a height about equal to or greater than the height of
the mouth
portion 22. In embodiments in which the collar 20 has a height greater than
the mouth
portion 22, the collar 20 has a height between about 1.1 to 2.0 times the
height of the
mouth portion 22. In other embodiments, the collar 20 has a height between
about 1.1
to 1.5 times the height of the mouth portion 22. In other embodiments, the
collar 20 has
a height of about 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.8, 1.9 or 2.0 times the
height of the
mouth portion 22. The threaded anchor section 12 extends from the collar
section 14
and has a plurality of alternating ridges 16 and troughs 18. The threaded
anchor
section 12 is tapered from a larger outer diameter at a proximal section to a
smaller
outer diameter at a distal section thereof.
[0044] In certain embodiments, the implant has specific dimensions, as
shown in
FIG. 15. In some embodiments, the implant has a length 43 between about 5 mm
and
20 mm. In other embodiments, the implant has a length 43 of between about 7.5
mm
and 15 mm, 9 mm and 12 mm, or 10.5 mm and 15 mm. In other embodiments, the
implant has a length 43 of about 5.0, 7.5, 9.0, 10.5, 12.0 or 15.0 mm.
[0045] In other embodiments, the ordered micro-geometric repetitive
surface
pattern zone 44 of the implant is located only at the proximal end of the
implant.
However, according to other embodiments, an ordered micro-geometric repetitive
surface pattern can extend to cover most or all of the implant. In embodiments
in which
the ordered micro-geometric repetitive surface pattern zone 44 is only located
at the
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proximal end of the implant, as shown in FIG. 15A. In certain embodiments, the
ordered micro-geometric repetitive surface pattern zone 44 is between about
1.5 and
2.5 mm in height. In other embodiments, the ordered micro-geometric repetitive
surface
pattern zone 44 is between about 1.8 and 2.1, 1.6 and 2.2, or 1.6 and 2.3 mm
in height.
In other embodiments, the ordered micro-geometric repetitive surface pattern
zone 44 is
about 1.8 or 2.1 mm in height.
[0046]
The implants described herein also provide a platform switch 42, as
shown in FIG. 15B. The horizontal distance 42 between the cylindrical collar
20 to the
opening of the tapered collar mouth 22 can be between about 0.3 and 0.7 mm. In
other
embodiments, the horizontal distance 42 between the cylindrical collar 20 to
the
opening of the tapered collar mouth 22 is between about 0.4 and 0.6 mm. In
other
embodiments, the horizontal distance 42 between the cylindrical collar 20 to
the
opening of the tapered collar mouth 22 is about 0.4, 0.5 or 0.6 mm.
[0047]
In certain embodiments, the body diameter 41, as shown in FIG. 15C, is
between about 1.5 and 5.0 mm. In other embodiments, the body diameter 41 is
between about 2.0 and 3.9, 2.0 and 2.8, 2.8 and 3.1 or 3.1 and 3.9 mm. In
other
embodiments, the body diameter 41 is about 2.0, 2.8, 3.1 or 3.9 mm. The
prosthetic
connection width 40 can be between about 1.5 and 3.0 mm. In other embodiments,
the
prosthetic connection width 40 is between about 2.0 and 2.7, 2.0 and 2.1 or
2.1 and 2.7
mm. In other embodiments, the prosthetic connection width 40 is about 2.0, 2.1
or 2.7
mm.
[0048]
In example embodiments, the micro-pattern surface treatment comprises
an ordered micro-geometric repetitive surface pattern, for example in the form
of
alternating ridges and grooves, each having a width and a depth on the order
of about
0.1 micron to 100 microns, and more preferably about 2 microns to about 25
microns,
and having pattern geometries as shown for example in U.S. Patent No.
5,816,813,
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U.S. Patent No. 6,419,491, and/or U.S. Patent No. 6,547,564, which are
incorporated
herein by reference. In alternate embodiments, different pattern geometries
and/or
pattern element dimensions are provided within the scope of the invention. For
example, a microthread surface pattern may be utilized.
[0049] The tapered collar mouth 22 optionally has an outer beveled
surface of
between 0 and 892 from the horizontal plane. The horizontal plane described
in these
embodiments can be defined by a horizontal line defined by the stop of the
implant
when viewed from the side, as shown for example in FIG. 15. In other
embodiments,
the outer beveled surface is arranged at an angle of between about 10 ¨ 20 ,
20 ¨ 30 ,
30 ¨ 40 , 40 ¨ 50 , 60 ¨ 70 , 70 ¨ 80 , 80 ¨ 892, 30 ¨ 60 or 20 ¨ 70
above the
horizontal plane. In certain embodiments, the outer beveled surface is
arranged at an
angle of about 0 , 1 , 2 , 32, 4 , 5 ,10 , 15 , 20 , 25 , 30 , 35 , 40 , 45 ,
50 , 55 , 60 ,
65 , 70 , 75 , 80 , 85 , 86 , 87 , 88 or 89 above the horizontal plane. In
certain
embodiments, the outer beveled surface forms a straight line between the top
of the
cylindrical collar 20 to the top of the tapered collar mouth 22. In other
embodiments, the
outer beveled surface forms an arc between the top of the cylindrical collar
20 to the top
of the tapered collar mouth 22. This arc can curve out from the implant or
curve into the
implant.
[0050] In other embodiments, the outer surface of the tapered collar
mouth 22
includes one or more steps instead of a straight surface extending from the
cylindrical
collar 20 to the top of the tapered collar mouth 22. In certain embodiments,
these steps
form approximate 90 angles from the straight surface of the cylindrical
collar 20. So,
instead of an outer beveled surface that extends at an angle to the horizontal
all the way
to the top of the tapered collar mouth 22, the outer surface of the tapered
collar mouth
can include one or more steps that lead from the straight surface of the
cylindrical collar
20 to the top of the tapered collar mouth 22. In other embodiments, the steps
have
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between 90 and 120 , 90 and 110 , 90 and 100 , 100 and 110 , 100 and 120
or
110 and 120 angles between the vertically rising portion of each step and
the
horizontally running portion of each step. In certain embodiments, the
vertically rising
portion of each step rises parallel to the straight surface of the cylindrical
collar 20. In
other embodiments, the vertically rising portion of each step can be discerned
by rising
more vertically than it runs horizontally.
In certain embodiments, the horizontally
running portion of each step extends perpendicularly to the straight surface
of the
cylindrical collar 20. In other embodiments, the horizontally running portion
of each step
can be discerned by running more horizontally than it rises vertically. In
certain
embodiments, the outer beveled surface 22 includes 1, 2, 3, 4, 5, 6, 7, 8, 8,
10 or more
steps.
[0051]
In another embodiment, shown for example in FIG. 14, the tapered collar
mouth 22, is either parallel with the horizontal plane of the implant or is
beveled so that
it decreases in height from the outer rim of the implant to the upper end of
the inner
beveled surface 25. As shown in FIG. 14B the upper edge of the implant forms a
horizontal plane of the implant. In this embodiment, the cylindrical collar 20
has an
ordered micro-geometric repetitive surface pattern leading up to the top of
the implant.
Then, the tapered collar mouth 22, is either flush with this horizontal plane
or angled
downward toward the lower inner beveled surface 25, which can be at the same
height
in the implant as the upper edge of the tapered collar mouth 22, or below it.
In some
embodiments, the tapered collar mouth 22 also has an ordered micro-geometric
repetitive surface pattern. In certain embodiments, from where it meets the
cylindrical
collar the tapered collar mouth 22 tapers downwardly at an angle between about
1 and
892 below the horizontal plane. In other embodiments, this angle is between 10
- 20 ,
20 - 30 , 30 - 40 , 40 - 50 , 60 - 70 , 70 - 80 , 80 - 892, 30 - 60 or
20 - 70
below the horizontal plane. In certain embodiments, the outer beveled surface
is
arranged at an angle of about 0 , 1 , 2 , 32, 4 , 5 ,10 , 15 , 20 , 25 , 30 ,
35 , 40 , 45 ,
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50 , 55 , 60 , 65 , 70 , 75 , 80 , 85 , 862, 87 , 88 or 892 below the
horizontal plane. In
certain embodiments, the outer beveled surface forms a straight line between
the top of
the cylindrical collar 20 to upper end of the inner beveled surface 25. In
other
embodiments, the outer beveled surface forms an arc between the top of the
cylindrical
collar 20 to the upper end of the inner beveled surface 25. This arc can curve
out from
the implant or curve into the implant.
[0052]
In other embodiments, the outer surface of the tapered collar mouth 22
includes one or more steps instead of a straight surface extending from the
top of the
cylindrical collar 20 to upper end of the inner beveled surface 25.
In certain
embodiments, these steps each have approximate 90 angles from the straight
surface
of the cylindrical collar 20. So, instead of an outer beveled surface that
extends at an
angle to the horizontal all the way to the upper end of the inner beveled
surface 25, the
outer surface of the tapered collar mouth includes one or more steps that lead
from the
straight surface of the cylindrical collar 20 to the abutment receiver 24. In
other
embodiments, the steps have between 90 and 120 , 90 and 110 , 90 and 100 ,
100
and 110 , 100 and 120 or 110 and 120 angles between the vertically rising
portion of
each step and the horizontally running portion of each step. In certain
embodiments,
the vertically rising portion of each step rises parallel to the straight
surface of the
cylindrical collar 20. In other embodiments, the vertically rising portion of
each step can
be discerned by rising more vertically than it runs horizontally. In certain
embodiments,
the horizontally running portion of each step extends perpendicularly to the
straight
surface of the cylindrical collar 20. In other embodiments, the horizontally
running
portion of each step can be discerned by running more horizontally than it
rises
vertically. In certain embodiments, the outer beveled surface 22 includes 1,
2, 3, 4, 5, 6,
7, 8, 8, 10 or more steps.
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[0053] In one specific embodiment, the outer bevel surface 22 is arranged
at an
angle of about 45 from the horizontal plane, and provides an implant ¨
abutment
receiver 24 diameter mismatch of at least about 0.8 mm, providing a width of
platform
switch of at least about 0.4 mm about the periphery of the abutment when
mounted in a
centered configuration on the implant. In alternate embodiments, the platform
switching
collar 14 comprises a radiused transition from a larger outside diameter at a
proximal
section to a smaller outside diameter at a distal section thereof. In further
alternate
embodiments, a flat surface (i.e., 0 or 180 ) or a stepped surface having at
least two
segments of differing dimension defines the platform switching collar section.
[0054] The implant 10 may comprise titanium, stainless steel, plastics,
ceramics,
and/or other biocompatible metals, alloys, composites or other materials, as
well as
combinations thereof, and may optionally further comprise one or more surface
coatings. The micro-pattern surface treatment may be applied by laser etching,
acid
etching, mechanical etching or micro-machining, photolithography, or other
surface
treatment processes.
[0055] As particularly depicted in FIGS 1-3 and 9-13, an alternative
embodiment
also comprehends an implant system comprising the dental implant 10 as
described, in
combination with an abutment 30 proportioned for complementary engagement with
the
implant. The abutment 30 can have a neck mount 34 that tapers from a larger
outer
diameter at a proximal section to a smaller outer diameter at a distal
section. The neck
mount 34 extends from a base 36 that can have an ergonomic shape configured to
be
accepted within soft gum tissue 44. The base 36 can be tapered from a larger
outer
diameter distal end to a smaller outer diameter proximal end. The abutment
base 36
has an insert 38 that secures within the implant ¨ abutment receiver 24. The
abutment
insert 38 has a shape and diameter designed to fit snugly and not rotate
within the
abutment ¨ insert receiver 24. When the abutment 30 is secured to the implant
10, the
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combined outer surfaces of the base 36 and the collar mouth 22 form a V-shape.
In
other embodiments, the combined outer surfaces can be flush, as shown in FIG.
14C.
[0056] The base material of the abutment 30 is selected from the group
consisting of titanium and alloys thereof, stainless steel, ceramics,
biocompatible glass
and combinations thereof. The micro-pattern surface treatment may be applied
by laser
etching, acid etching, mechanical etching or micro-machining,
photolithography, or other
surface treatment processes.
[0057] As particularly shown in FIGS. 1-3, the implant threaded anchor
section 12
is secured into the bone 42 below the soft gum tissue 44. The anchor section
12 can be
secured by drilling a hole into the bone 42 and rotatably screwing the
threaded surface
within the hole. Alternatively, the implant anchor section 12 can be inserted
within the
bone 42 to a depth such that the collar section 20 fits within the bone and
the mouth 22
sits above the bone. The abutment 30 is secured to the implant 10, for example
by
inserting the abutment insert 38 into the implant ¨ abutment receiver 24. When
the
abutment 30 is secured to the implant 10, the volume of the gum tissue 44
increases
over the V-shape between the base 36 and the mouth 22.
[0058] The abutment base 36 optionally includes a collar section 32
having an
ordered microgeometric surface pattern applied thereon. In example forms, the
ordered
microgeometric surface pattern comprises alternating ridges and grooves,
and/or a
microthread geometry, for example each having a width and a depth on the order
of
about 0.1 micron to 100 microns, and more preferably about 2 microns to about
25
microns. When the abutment 30 is secured to the implant 10, the abutment
collar
section 32 aligns with the implant collar mouth 22 to provide a consistent
microgeometric surface pattern across the implant and the abutment. When the
implant
and abutment 30 are secured within the bone 42, the bone and gum tissue 44
will
grow into and grip the microgeometric surface pattern collars 14, 32.
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[0059] While the invention has been described with reference to preferred
and
example embodiments, it will be understood by those skilled in the art that a
variety of
modifications, additions and deletions are within the scope of the invention,
as defined
by the following claims.
